An appraisal was made on a randomized controlled trial by Allison et al, which compared direct and indirect manual therapies for treating cervicobrachial pain syndrome. The direct therapy group (NT) received neural mobilizations, and the indirect therapy group (AT) received joint mobilizations for the glenohumeral joint and thoracic spine.
Per the Northwick Park Questionnaire and the Short Form-McGill Pain Questionnaire, decreases in pain were statistically significant for both groups from pre-assessment to post-assessment, but not between groups. When using the Visual Analog Scale, a statistically significant improvement was found for both groups over the treatment period, though only the NT group had significantly lower scores at 8 weeks.
This article offers support for both groups in treating cervicobrachial pain syndrome, however a direct approach may be advantageous. Small sample size may limit results of this study.
Palmer, Brianna, "Treatment For Cervicobrachial Pain Syndrome; A Comparison Of Direct And Indirect Manual Therapies" (2013). Critically Appraised Topics (CAT). 1.